Carley Drug Co – Community/Retail Pharmacy

Key facts

NPI: 1295829075
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 238 (IA)
Legal business name: CARLEY DRUG CO
Practice address: 102 N Elm St
Avoca, IA 51521-3510
Phone: (712) 343-6777
NPI assigned: Oct 3, 2006
Organization subpart: No

Authorized official

Name: Mr. Terry Carley NPI 1528128253
Title: Owner/Pharmacist
Phone: (712) 343-6777

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Terry Carley, RPH Pharmacist · Avoca, IA · NPI 1528128253

NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	238	IA	Yes

Addresses

Primary practice location

102 N Elm St
Avoca, IA 51521-3510

Mailing address

102 N Elm St
Avoca, IA 51521-3510

Other identifiers

Identifier	Type	State	Issuer
1610206	Other	IA	NAPB
0081174	Medicaid	IA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295829075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N ELM ST",
            "city": "AVOCA",
            "state": "IA",
            "postal_code": "515213510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ELM ST",
            "city": "AVOCA",
            "state": "IA",
            "postal_code": "515213510",
            "telephone_number": "712-343-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLEY DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CARLEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "712-343-6777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "1610206",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081174",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avoca, IA

All providers in Avoca, IA · Community/Retail Pharmacy in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.